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HomeMy WebLinkAbout032-2135-20-000 (2) 0 ? 0 7 G m (k2 T (D ' f / _ . § e m o #'o e o _ / \ f / A \ 3 ) § o G»« r e® @ 0 J• / @ E m C( E 2§ 9 2 \ }( / f ƒ§\ ° o \ - ° ƒ ®>± CL \ e D _ \ § \ CD @ 2 § ri K3 S / o o �, g E c ° � � � � . z 0 0 0 0 rr / \ 7 } ) 2 / $ o o ° ' §( £iD k : § e ¥ w » 7 I/ % z U z = _ . - > E o p; / / N f § \ �ƒ ? c \ > & 2 z ` ` / z / g p2 2 ) W 2 7 z ® z co E2 k m { / ƒ / & a ■ � \ k ƒ/ Q. 7 i J C�D CD \ . * \ � \ < g 8 CL \ � Wiseorrin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 la bor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM ' c for la of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance APPLICANT INFORMATION- PLEASE PRI IN ORSATIOhF REVIEWED BY DATE PROPERTY OWNER: f PR !iTY LOCATION Forest Oaks Condos, Inc. � l GOVL OT SE 1/4 NE 1/4,S 23T 31 N,R 19 (or) W PROPERTY OWNER':S MAILING ADDRESS C fx LGT # ; BLOCK # SUBD. NAME OR CSM # 11160 190th. Ave. N. W. 19 na Whitetail Trails CITY, STATE ZIP CODE HOK N � fT QVILLAGE 9]TOWN NEAREST ROAD Elk R iver, MN. 55330 (N2) 441-8888 Somerset 205th. Ave. [ New Construction Use [XI Residential / Number o rrs 4 [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd /ft •6 trench, gpd/ft Absorption area required 500 bed, ft 5_ 0 trench, ft Maximum design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Recommended infiltration surface elevation(s) 97.00 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of el. 96.00' Parent material glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE T SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ❑ S 7 U ®S O U ❑ S F7 U ❑ S ® U ❑ S E7 U ❑ S 0 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTrench ................. 1 .... 1 0 -21 10yr4/3 none sl 2mgr mvfr 2f .5 .6 ................. 2 21 -51 7.5yr4/6 none is Osg mvfr if .7 .8 Ground 3 51 -84 7.5yr4/4 none sl 2msbk mfr ria na .5 .6 elev. 97 ft. Depth to limiting factor Remarks: Boring # 1 0 -12 10yr3 /3 none sl 2mgr mvfr 3W 2f .5 2 ><' 2 12 -33 7.5yr4/4 none sl 2msbk mfr if .5 .6 3 33 -44 7.5yr4/4 none scl 2msbk mfr 3W if .4 .5 Ground elev. 4 4 -75 5yr4/4 c2d 7.5yr5/6 scl M n a na na I np 1 ; .2 96.0 ft. Depth to limiting factor 44 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Agp., New Richm d WI 54017 Signature: Date: 4 -18 -2000 CST Number: m02298 �L. I PROPERTY OWNER Forest Oaks Condos SOIL DESCRIPTION REPORT Page 2 Qy 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence ftinclary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench " 1 -11 10yr4/3 none sl 2mgr mvfr w 2f .5 .6 3 <` 2 11 -32 10yr4 /4 none sl 2msbk mfr if .5 .6 Ground 3 32 -84 5yr4/4 c2d 7.5yr5/6 scl 2csbk mfr ria na .4 .5 elev. 9a,& ft. Depth to limiting factor 32" Remarks: Boring # Ground elev. ft. — Depth to - limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. j ft. Depth to limiting factor Remarks: S13D- 8330(8.05/92) r STEEL'S SOIL SERVICE Gary L. Steel Forest Oaks Condos, Inc. 1554 200th Ave. CSTM2298 SE4NE4 S23 T31N - R19W New Richmond, Wi 54017 MPRSW - 3254 town of Somerset (715) 246 - 6200 lot #19- Whitetail Trails N 1 BM.= top of 1 "pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe C el. 102.50' s' v 3D ✓ J + �D Gary L. Steel 4 -18 -2000 - .......... � ^ I LOT 2 1 LOT 2 0 M O W , . ' '� �c* o 132 339 S0 FT °; LOT 4 M 2 c oI 133,809 SO. FT M CERTIFIED N 3.04 ACRES •� o rn _ lot MINIMUM F.F.E. =492.0 �yh^ .'/ Z �' 3.07 ACRES VOLUME _1 In • oa�i� 3 : MINIMUM F.F.E. -492.0 t �r. C cV a' co A, N 1 (tH.W.L. ii •gy m. w 1 No O� S AL. AL C ry. I o I t � N m Ni p 45a , 1 I 20' .�.. 134.88' J . "1402 3kR - - -- 29.82'! N S88'37 54 " W 658.93 - ----- - - - - -.�� ° - Isp.a� -- 330.89' 14.83' - 328.04' i \ I cv I I 1 04 I , N Z I N w 1 I� 1 i MINIMUM F.F.E. =486.7 O 1 co 00 LOT ' W 0 1 8 N LOT 19 0. W W 1 N WIn 134, 241 SQ. FT N 134, 521 S0. FT t o; o o -- T 3 g N CERTIFI 3.08 A CRES o W 3.09 ACRES i VO LU M E I� 0 100' BUILDING SETBACK N I •� •- 1 I I /ll I f I1 1 . L. �� I I I 1 II I i ---- - - - - -- 326.55' RIGH' - -- -------- - - - - -- 328.04--------- - - - - -- - -- ------- - - - - -- !' L - S88'37'54 "W 1150.64 - - - - -- — ;� - - - - 205TH - A - VENUE _ _�� ------- - - - - -- ------------=-- I RIGHT -OF -WAY 205TH A\ BENCHMARK -R.R. SPIKE NORTH SIDE POWER POLE I UNPLATTED - LANDS s LOT 3 4GS TANGENT BEAR14W CERTIF ED� S88'45'03 "W 502'12'41 "E - ---- -- ----- � VOLU - S88'45'03 "W S02'12'41 "E et x � '----- -- - - -- S8845'03 "W S80 28'19 "W S80'28'1 9 "W S45'08'16 "W?�S S45'08'16 "W S33'40'45 "W S33'40'45 "E S02'1 2'41 "E S62'39'03 "W S88'45'03 "W LOT 21 IS REQUIRED TO HAVE AN EROSION CONTROL F SUBMITTED TO THE ST. CROIY COUNTY ZONING DEPT. FROM P C COLLOVA HLDRS, INC PHONE NO. 715 247 2747 P1a.y. 1' 2nO4 08:02AM P1 01/15/04 THU 1E:48 FAX 715 386 4886 ST CRI CO ZONING BOOS r~ ST. CROIX COUNTY' ,., �• ..✓ 'ti ���*� '' r A M r r ■ w s r n��X ST. CROI?C COUNTY CENTER 1101 Carmi ahL "l 4oad Hudson, .� (715) 386-4 Thursday, January 15, 2004 P.C. Collove, Builders, Inc.' 572 205th Avenue Somerset, W1 54026 Regarding septic inspection for P.C. Collova Builders, Inc.. F FmA oeatlon of Properky in 3E Croix County: unlClpality: Somerset Township Subdivision or Plat: Whltetsll Trails Certified survey Map. ' Lot 19 Address: 572 206th Avenue Dear Applicant A septic 'inspection of the 2+bova reference property woo conducted on December 06,1 This property is located In the SW 114 WE 114 of Section 23, T31 N R19W, Whitetell T L merset Township, St. Croix County, Wisconsin. At the time of the inapeotlon, this septic sya+ ;j coda oomplient for a 3 bedroom home. Systs elew Adjusted for higher % elope If you have any questions r8g2rding this. please contact our office at 715.39SA680. Sincerely. Emily Lund Toning Staff cc: Ile � d Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division a INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430570 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: P.C. Collova Builders, Inc. Somerset Township 032 - 2135 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Lo f- Section/Town /Range /Map No: 1 00 4 D Tor 1) V O ) KI I (or 23.31.19.1198 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I Benchmark I � L� 0 11'•1 I I. Z v 1 01.2- too Dosing Alt. BM Sf Qjj C. L) VA - / Aeration— Bldg. Sewer I 1?� 3 Holding St/Ht Inlet I TANK SETBACK INFORMATION St/Ht outlet j TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic i / Dt Bottom 30 �7 I'l 30 Dosing He der /Man. T e 1 10A Aeration Dist. Pipe Holding EFot. System LO 7. 0 c, �pvt Final Grade 3 - 7. f, 3. v PUMP /SIPHON INFORMATION 7 L , ,l7 y Manufacturer Demand St Cover Z? Q GPM Model Number f) a, G iu �� � I (3L1 152- TDH Lift F riction O Loss System Head ---� TDH b Ft 3, 4.. 7 q, S r 7 Forcemain Length / Dia. ,f Dist. to Well 1�� 25 - 7 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches 3 PIT DIMENSIONS No. Of Pits Inside Dia. i 3 uid De th DIMENSIONS � � � , � 3 c,irt�tm 'm �w- SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: ►'1Y (�i I i n `� L UNIT Model Numbe �' r. QYI A 1 T DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 1 Pipe(s) / Length Dia / L Dia Spacing �7 C- SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodd c ed Bed/Trench Center I TOPS - �f 71 Yes i ; No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 12% bro / inspeetie Location: 672 205th Avenue Somerset, WI 54025 (SW 1/4 NE 1/4 23 T31 R1 9W) Whitetail Trails Lott 19 I'Vl Parcel No: 23.31.19.1198 1.)Alt BM Description= L�1�n (y� PI11 151t 61-U4 dM P'-I`1 d ry`� Bldg sewer length = 3 �`� Yyy'gP0 k Ck 1 + kaw%" 661 1K Cmg d 6DO A/Ua �. amount of cover = > `� 2 t ^ A► / S "Ill Y'1 �� U� � My � � sepctoes ow�.d e � lo-a____�•, r • - — - Plan revision Required? U Yes No U other side for additional information. v'' ✓J _ -- 1J1 _ . I� 1 w SBD -6710 (R.3/97) Date I Signature Cart. No. Safety and Buildings Division r 201 W. Washington Ave., P.O. Box 7082 entmty�JL D) iseonsin Madison, WI 53707 - 7082 Sanitary Pdtni Number (to be fill � by Co.) f 261 -6546 Department of Commerce State Plan LD. Number Sanitar Permit A li ti PP In accord with Comm g3: 1, Wis. Adm. Code, persottal iation you provide tray be used for secondary purposes Privacy Law.04(�1(q�1r 2 4 2003 Projects A7ddr (if different than I. Application Information - Please Print All Information mailing add ' `t Vv Y� (a / d` �Z �; ST. CROIX COUNTY Property O , er's Name Parcel # t # Block # eo ✓�✓ 0 32 -21 Propeer's Mailing Address Property Location� / � r I W , j4 , Section 3 City, State ) Zip Code �r Phone Number e,/ �/lJ n J T / N; E IeWe KOPublictCarnmercial ype of Bullding (check all that appl)) Subdivi ' n Name M Number r 2 Family Dwelling - Number of Bedrooms / - Describe Use �1 !/f/ �' ❑State Owned - Describe Use 3 D IS - ❑City ❑ Villa g ownship o UL Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. 11 Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a 1 on- Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound <24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized ln-G and 11 Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ e Recirculating Synthetic Media Filter hing Chamber ❑ Drip Line C1 Gravel -less Pipe aO ie _ 14 plain)3 V. Dis ersalfrreatment Area Information: r D 1 4 Desil Fl (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dis Proposed (sf) tens Ele" VI. Tank Info Capacity in Total Number M ufaenuer Prefab ite el Fi "'Utic ` �A /0v Concrete Cotuttucter Gallons Gallons of Units W �� New Existing Tanks Tanks Septic or Hokling Tank Aerobic Treatment Unit Dosing Chamber a VII. Responsibility Statement- I, the undersign9d, me responsibility for installation of the POWTS shown on the attached plans. Plumber's Name ( P rint) Plumber' MP/MP Business Phone Number Plumber's Address (Street, City. State, T ode) 91 VII Coun /D epartment Use Onl Approved Disapproved Sanitary Permit Fee (includes Grow dwater Da / ter sued uing Agent St aturo (N ps) Surcharge Fee) ¢� 15� �U I / �S � ❑ Owner Given Reason for Denial �Q Ul IX. Conditions of Approval/Reasons for Dlsapprova� 1 �J/ YSTEM O NER: —� ►'► -ate 1 optic tank, effluent filter an dispersal cell must all i / m intained /�� Q �� s lumber. �c� ��, 2. All setback requirements must be maintained v as per applicable code/ordinances. y;cy 4z r G� Cc�� Ac 6 2 auto& �6 h . 5`' Attach tomplete plans (to the County only) for the system on P not t than 511A x 1 1 Inches In dy / _ A , ' SBD -6398 X 08102) PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 SW 1/4 NE 1/4s 23 /T 31 /R2 9 TOWN Somerset COUNTY ST. CROIX 11/19/03 3 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL IN- GROUND SSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL sH.R.P. Same as Benchmark SYSTEM ELEVATION 95.7/94.4/93.0 3' below grade of Lath @ 102.7' Plans Designed Using I, Alt. BM Top Conventional Powts M Manual Version 2.0 489' Property Line 60' M. � 10' B -3 3 -3' X 83' Cells with >3' Spacing Vents a Vents 90' Huffcutt Combo Tank -1 45' 35' B -2 14% 3 Slope J Pro 3 Bedroom House 1 i3 n, 216 & k S Vent kn >6" Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 11 " Grade at System Elevation PLOT PLAN PROJECT P.C. C011ova Bldrs. Inc. I ADDRESS P.O. Box 489 Somerset Wi 54025 SW 1/4 NE 1/4s 23 /T 31 /R 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1 1/19/03 BEDROOM 3 CONVENTIONAL IN- GROUND S SURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION loo Filter Zabel A -100 ❑ BOREHOLE O WELL +H.R.P. Same as Benchmark SYSTEM ELEVATION 95.7/94.4/93.0 3' below grade Alt. BM Top of Lath @ 102.7' Plans Designed Using 1A Conventional Powts M 2A Manual Version 2.0 489' Property Line 60' M. 10 B -3 3 -3' X 83' Cells with >3' Spacing Vents Vents 90' Huffcutt Combo Tank B -1 B -2 45' 35' 14% 30' Slope Pro 3 Bedroom House a� Vent 0 ALong Standard Biodiffuser Leaching Chamber 1 " with 3 1. 1 ft2 of Area 34" Grade at S ystem Elevation SEPTIC TANK 5 Pt3l9P CHAMBER CROSS SECTION AND SPECIF ICATIONS WEATHERPRWF APPROVED y += CT VENT PIPE IZ" MIr1. ABOVE GRADE JUNCTION BOX MANHOLE COYER > Z5' FROM DOOR. w;NDOW OR WITH CONDUIT W/ FAD LOCK s I'RESH AIR INTAKE WARNING L&BE:. GRADE FINISHED � _....�. - 4" MIN. 6 Iw,ft. ZY� t. b. u 18" IN. flu � s INLET GAS - yiAT£R 'L'IGH'T SEALS TIGHT* `� �JApP YED A SEAL ; *, JOINTS WITH � I L'T ER "- ' - ALM APPROVED PIPE B ' ON SMIC SOIL APPROVER ' PIPE 3 C OFF ONTO SOLID SOIL PUMP t}L"F ELEit - ____ F D 2a� BED DING UNDER TANK 3u APPROVED COiVCRETE PAD ' caX` Sp£CIFICATZOSPECIFICATIONS 7 SEPTIC / DOSE G�d�VV PLUMBER O OSES x £R DAY = TANK 14ANUFACTURER: DOSE VoWME INCLUDING GAL - GAL . F LOWBAC r O TANK SIZES : SEPT GAL. = INCITES = - GAL DOSE IES: A CRFACIT GAL. ALARM MANUFACII3RER : S = . 2 INCHES SG_-- -- MODEL Ml �� C/ _ L ES = SWITCH TYPE = C INCH _ /3 S GAL- PUMP 1't WjrACTUR£R: D = / INCHES L_= --- -- NUM BER:' � qtr - Li m WAC MODEL I M PE. AIRING AS PER TYPE-, £ ALARI''f �� FEET REQUIRED DISCHARGE RATE �-�-- GPM EET PIP - FFEREA10E BETWEEN PUMP OFF .AND _DISTgIBUTION _ - FEET R- . yCAL DE RE SL1 E CTOR - CTION FA FEET VER'f � SUPPLY P � -FT, FRI - + MINIKUK NE IN x ,j FT>1Qfl t1RC TO DYNAMIC MEAD + FEET F �J !� /� j IDTH 6��• pIAMET� r FUMP TANK: INTERNAL DIMENSION L.IQ 4gAT E LIc ENSz. M$ x SIGNED: it88 TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 MODEL 152 153 50 Feet Meters Col. Liters Col. Liters 153 5 1.5 69 261 77 291 12 5 40 10 3.1 61 231 70 265 1 15 4.6 53 201 61 231 0 4 = 20 - 6.1 44 167 52 197 30 � 25 7.6 34 129 42 159 z 8 r 30 9.1 23 87 33 125 0 20 35 10.7 -- — 22 85 0 40 12.2 -- -- 11 42 4 Lock Volve: 38.0 -t. (11.6m) 44.0 Ft. (13.4m) 10 - - -� orasoa I 0 20 40 60 80 100 GALLONS LITERS 6 1/a 80 160 240 320 0 --{ ` 3 27/32 4 5/8 FLOW PER MINUTE i CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 - 4 -. Timed dosing panels available. OO 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with e an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. T • Over 130 °F. (54 °C.) special quotation required. 1521153 Series' 12 1 / 8 1521153 MODELS Control Selection Model VoItsTPh Mo A mps Simplex ^ Duplex 5 /8 N152 1 115 1 Non 8.5 1 2 or 3 BIN 1521 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 r -� SK2064 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2o 3 1. Single piggyback variable level float switch or double piggyback variable level Float BE153 230 1 Auto 5.3 Included 2or3 switch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. t30X 16347 Z �7 Louisville, KY 40256 - 0347 Manufacturers of. . SHIP TO: 3649 Cane Run Road ® Louisville, KY 40211.1961 7p (502) 778 -2731. 1(800) 928 -PUMP rUZITY/ ' UMP9 S �99 NCE http: / /Www.zoeller.com PL/MP !O_ FAX(502)774 -3624 0 Copyright 2000 Zoeller Co. All rights reserved. Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use altemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 it Wisconsin Department of Commerce SOIL EVALUATION REPORT p age l of Division of Safety and Bublo'irlgs in accordance with Comm 85. Wis. Adm. Code �t Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must l Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. _ I/ —LL Personal inrormation you provide may be for ." "t 15.04 (1) i Property Owner Property Location Govt. Lot <�K/ 1/qV 1/4 V3 T N R E (or Proper!XOwnees Mailing Address , a lot # Block # Subd. Name or CSM# o, c;c � /R ,t° ' :ta CRY State Zp ❑ City ❑ 111age Town Nearest Roaq New Construction Use midential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement / 2eloMrodal - Desa(be• Parent material Y Plain elevation if applicable .ti.'t� fl General Comments and recommendations: © Boring a Borin 9 # �. Pit Ground surface elev. •5 ' ft. Depth to g factor -� in. Sot Applicaticri Rate Horizon Depth Dominant Color Redox Description Texttre Structure Consistence Boundary Roots GPD/fF in. Munsel Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 /0Y, Jove Boring Pit Ground surface ew4 -r-" ft. Depth to limiting factor ESL_ 'a►. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munset QU. Sz. Cord. Color Gr. Sz. Sh. '81#1 'Etf#2 /Z s r Ca- • S , I 1 .S u r ' Effluent #1 = Btu > 30 220 mgll and 11 W mgll. • Etfluerd fit = BOD _< 30 mgll and TSS < 30 mgll q Date Eva Conducted Telephone N rdw 4,4J -x* 7 I Property Over Parcel ID # Page of 1-1;!9 # B oring ,f�l Pit Ground surface elev. � fL Depth to limiting factor // in. Soil Applicabort Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff° In. Munsell Ou. Sz. Cont. Color Gr. Sz Sh. *011#1 •Eff42 � °1y 3iZ 5 cs a -s 3 3- v s l sf� pr N q 5, "7 = 3 a F Borl # ❑ Boring ❑ pit Ground surface elev. ft. Depth to Wniting facer nn. Sol Application Rate Horimn Depth Dortkwd Color Redox Description Texture Str Consistence Boundary Roots GPOW in MunseA Ou Sz. Cant Color Gr. Sz. Sh. •Eff#i I 'Eff#2 F Boring # ❑Boring D pit Ground surface elev. ft. Depth to MftV factor in. Sod Application Rate Haim= Depth Dominant Colcx Redox Description. Texture Structure Consisterm Boundary Roots GPDfff° in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. MINI 'Eff#2 Effluent #1 = BOD > 30 < 220 mgfL and TSS >30 < 150 mg& • Effwent #2 = BOD c 30 mgfL and TSS 5 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. sso�atR.doo� Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Sha Address P.O. Box 489 Somerset Wi 54025 M #226900 Lot 1 9 Subdivision White Tail Date 4/20/03 S W 1/4 NE 1/4S 2 3 T 31 N /R W Township Somerset n Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey lron System Elevation 95.7/92.5 *HRpSame as Benchmark Al BM T f L 1 I ' Alt. op o Lath @ 02.7 .M. 489' Pro ert Line /- 1 0 1. ) V 7 ` 60' M. 105 B-3 99' 97' 25' 30' 45' 35' B -2 95' a Pro 3 Bedroom 14% House Slope 0 M M I N lI'1 i O ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P. C. Collova Builders, Inc. Mailing Address P O Box 489 Somerset, WI 54025 Property Address G- -a � (Verification required from Planning Department for 4w C struction) ^�� F• City/State d- T Parcel Identification Number O 3 2 ' 7 - 1 3 5 , 2-0 — 606 LEGAL DESCRIPTION Property Location S %,, 5 y., Sec T-3LN -R -W, Town of . Subdivision �� Y� I t O A Cl) • Lot # . Certified Survey Map # Volume . Page # Warranty Deed # 'b Volume Page #I< k g Spec housV3�yes ❑ no Lot lines identifiable ❑ no SYSTEM MANTENANCE Improper use and maintenance of your septic system could result is its premature - failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master•plumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da a ffirm ye, r expiration date. P- C• COLLOVA BUILDERS, INC. If / !�'/ a 3 SIGNA OF APPLICANT (715) 247 -2742 DATE SOMERSET,�iyIgCONSIN 54025 OWNER. CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the rty e c ed above, by virtue of a wawa ed corded in Register of Deeds Office. f . &LLOVA BUILDERS, INC (715) 247 -2742 r7 i / / /4 / a 3 SIG14ATURt OF APPLICANT SOMERSET, . x 489 WIS 54025 DATE * * * * ** Any information that is mis represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** r ` ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed , J 1922P 26 ll • ' STATE BAR OF WISCONSIN FORM 2 - 1999 KA A 8 3 4 2 7 THLEEN H. UALSH Document Number WARRANTY DEED RE CO., This Deed, made between Forest Oaks Condos, In c. RECEIVED FOR RECORD 07 -03 -2002 10:30 AN W RRNM DEED Grantor, and P . C Collo Build Inc. EIEMpT ; REC FEE.- 11.00 TRANS FEE: 306.00 -- COPY FEE: -- CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lots 14, �9�td 21, Plat of Whitetail Trails in the Town of Somerset, Recording Area St. Croix ounty, Wisconsin. Name and Return Address 032- 2134 -70 -000; 032- 2134 -20 -000 &. 032 - 2134 -40 -000 Parcel Identification Number (PIN) This is not homestead property. DI) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of July 2002 Fores Oaks Condos, In « + Gerald J Smi res ident AUTHENTICATION ACKNOWLEDGMENT Signature(s) Forest Oaks Condo Inc. b y Gerald J. Smith, STATE OF WISCONSIN Presi ) ss. County ) authenticated this 7IA day of July 2002 - -- -- Personally came before me this _ ,day of the above named , « Kris Ogland TITLE: MEMBER STATE BAR OF WISCONSIN - - th (If not to me known to be the person(s) who executed e eg foroing — instrument and acknowledged the same. authorized by Q 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Notary Public, State of Wisconsin udll son, W 5401 6 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) --.) + Names of persons signing in any capacity must be typed or printed below their signature. ird -lion Ptonalonala Compa Fond du iac w1 800655-2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 z J I ui 37'54 "W 65$.93' - 330.89' ' I I Iz I I� I I oO N LOT 19 W in Nod LOT 3 I N 134,521 SG?. FT ; g N CERTIFIED SURVEY_ MAP I N ° 3.09 ACRES z VOLUME _8_ PAGE_ 2148__ N I z o - - - -- -- I J ~ I Ln . ..... . .... , W 100' BUILDING SETBACK � .................. , I � I r RIGHT -OF -WAY 205TH AVENUE J 326.55' ------ - - - - -- — — — _ — — — - - -- - -- - - - - - -- — — — — — - - - -- - -- % ") S "W 1062.69' 26.84 ' CENTERLINE 205TH AVENUE 205TH A V_E_ NUE �__------ - - - --- I RIGHT -OF -WAY 205TH AVENUE :NCHMARK —R.R. SPIKE I )RTH SIDE POWER POLE , UNPLATTED_LANDS i LOT 3 CERTIFIED SURVEY VOLUME - 4 - P AGE_ 1135 10( S( BEARINGS LOT 21 IS REQUIRED TO HAVE AN EROSION CONTROL PLAN OF SECTION SUBMITTED TO THE ST. CROIX COUNTY ZONING DEPT. WHICH IS P PRIOR TO THE ISSUANCE OF A SANITATION PERMIT. s.